Substance use among school dropouts is a growing global concern that has not been assessed through a meta-analysis. This study aims to provide an overview of the relationship between school dropout and substance use. We searched the PubMed, Embase, Web of Science, Cochrane Library, PsychINFO, ERIC (EBSCO), MEDLINE (EBSCO), and CINAHL (EBSCO)…

Adolescent school connectedness generally protects from risk behaviors such as tobacco use; however, its relationship to e-cigarette use is unclear. This study examines the relationship between adolescent school connectedness and e-cigarette susceptibility in a diverse longitudinal sample. This secondary analysis of a school-based intervention…

Diffusion of innovations theory can be used to understand how to prevent or slow the spread of harmful behaviors, such as e-cigarette use in adolescent social networks. This study explores how different network intervention strategies could impact diffusion dynamics through network simulations based on observed social norms and e-cigarette use…

This study aims to assess whether students at schools implementing Project SUCCESS (PS) have different substance use and mental health outcomes than those at schools not implementing PS. Surveys were administered to 18,151 middle and high school students from 29 school districts and 50 schools. Multivariable logistic and linear regressions…

Youth are particularly vulnerable to adverse outcomes from substance use, and there is limited evaluated drug education targeting youth in Canada or the United States of America (US). This scoping review identified and synthesized existing literature on evaluated harm reduction substance use education programs for school-aged youth in Canada and…

Youth vaping is a concern and schools may use many approaches to discipline students caught vaping at school. This study identified the prevalence of school staff seeing vaping in schools and the measures used to discipline students. A state-wide sample of 7,938 staff from 255 middle and high schools reported whether they saw any students vaping…

Background: Mental health care is critical to improving mental health but factors associated with student utilization are poorly understood. Methods: Data were from high school students (N = 2933; mean age = 15.7 ± 0.6) enrolled in a California cohort. We examined associations of sociodemographic factors, substance use, and mental health symptoms…

Background: In 2023, the US state of Texas passed a bill on vaping in school -- House Bill 114 (HB 114) -- which took effect in Texas public schools on 1 September of that year. HB 114 mandates that any student caught vaping in school be placed on a Disciplinary Alternative Education Program (DAEP). The efficacy of HB 114 may be contingent, at…

We investigate the mechanisms by which a student's age relative to classmates (i.e., relative age) influences risky health behaviors among European adolescents. Using a two-stage least squares approach, we show that relatively young students are more prone to engage in risky behaviors. These results hold after controlling for absolute age, country…

Substance use in adolescence is a significant public health issue, particularly in early-to-mid adolescence, which represents a window of risk in the etiology of substance abuse and dependence. Substance use during this development period often results from affiliation with deviant peers, who model, facilitate, and reinforce use. Existing…

E-cigarettes are a popular type of nicotine product among youth in the United States. Hispanic youth, one of the fastest growing populations in the United States, are second only to white youth for e-cigarette use. Analysis of the Parents' Resource Institute for Drug Education data was conducted to determine past 30-day e-cigarette use among…

There is a public health epidemic in adolescents' use of Electronic Nicotine Delivery Systems (ENDSs), also known as electronic cigarettes, vaping products, or JUULs. However, little is known about the level of knowledge school staff have about ENDS. The purpose of this study is to examine outcomes of a nurse-led educational intervention designed…

Objectives: In early 2021, Western Sydney school principals expressed heightened concern about rising e-cigarette usage among high school students. This prompted us to assess knowledge, attitudes and perceptions surrounding adolescent vaping in students, school staff and parents, and their preferred strategies to effectively communicate prevention…

Objectives: More than 2.5 million middle and high school students in the United States reported current use of e-cigarettes in 2022. With continued curiosity and initiation of e-cigarette use among youth, it is critical to explore new and innovative ways to communicate about the dangers of e-cigarettes. The purpose of this study was to determine…

The Youth Risk Behavior Survey (YRBS) is an epidemiologic surveillance system that was established by the U.S. Centers for Disease Control and Prevention (CDC) to help monitor the prevalence of behaviors that not only influence youth health but also put youth at risk for the most significant health and social problems that can occur during…